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Union Calendar No. 534 

115TH CONGRESS 

2D SESSION H. R. 4245 

[Report No. 115–691] 

To direct the Secretary of Veterans Affairs to submit to Congress certain 

documents relating to the Electronic Health Record Modernization Program of the Department of Veterans Affairs. 

IN THE HOUSE OF REPRESENTATIVES 

NOVEMBER 3, 2017 

Mr. WALZ (for himself, Mr. ROE of Tennessee, Ms. KUSTER of New Hampshire, and Mr. BERGMAN) introduced the following bill; which was referred to the Committee on Veterans’ Affairs 

MAY 21, 2018 

Additional sponsors: Mr. GROTHMAN, Mr. MEADOWS, Mr. LAMBORN, and Mr. 

COFFMAN

MAY 21, 2018 

Committed to the Committee of the Whole House on the State of the Union 

and ordered to be printed 


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A BILL 

To direct the Secretary of Veterans Affairs to submit to 

Congress certain documents relating to the Electronic 

Health Record Modernization Program of the Department of Veterans Affairs. 


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1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Veterans’ Electronic 

5 Health Record Modernization Oversight Act of 2017’’. 

6 SEC. 2. OVERSIGHT OF ELECTRONIC HEALTH RECORD 

7 MODERNIZATION PROGRAM. 

8 (a) PROGRAM DOCUMENTS.—Not later than 30 days 

9 after the date of the enactment of this Act, the Secretary 

10 of Veterans Affairs shall submit to the appropriate con11 gressional committees the following documents concerning 

12 the Electronic Health Record Modernization Program: 

13 (1) Integrated Master Plan. 

14 (2) Integrated Master Schedule. 

15 (3) Program Management Plan. 

16 (4) Annual and lifecycle cost estimates, includ17 ing, at a minimum, cost elements relating to— 

18 (A) Federal Government labor; 

19 (B) contractor labor; 

20 (C) hardware; 

21 (D) software; and 

22 (E) testing and evaluation. 

23 (5) Cost baseline. 

24 (6) Risk Management Plan. 

25 (7) Health IT Strategic Architecture Plan. 


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1 (8) Transition Plan for implementing updated 

2 architecture. 

3 (9) Data Migration Plan. 

4 (10) System and Data Security Plan. 

5 (11) Application Implementation Plan. 

6 (12) System Design Documents. 

7 (13) Legacy Veterans Information Systems and 

8 Technology Architecture Standardization, Security 

9 Enhancement, and Consolidation Project Plan. 

10 (14) Health Data Interoperability Management 

11 Plan. 

12 (15) Community Care Vision and Implementa13 tion Plan, including milestones and a detailed de14 scription of how complete interoperability with non15 Department health care providers will be achieved. 

16 (b) QUARTERLY UPDATES.—Not later than 30 days 

17 after the end of each fiscal quarter during the period be18 ginning with the fiscal quarter in which this Act is enacted 

19 and ending on the date on which the Electronic Health 

20 Record Modernization Program is completed, the Sec21 retary shall submit to the appropriate congressional com22 mittees the most recent updated versions, if any exist, of 

23 the following documents: 

24 (1) Integrated Master Schedule. 


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1 (2) Program Management Plan, including any 

2 written Program Management Review material de3 veloped for the Program Management Plan during 

4 the fiscal quarter covered by the submission. 

5 (3) Each document described in subsection 

6 (a)(4). 

7 (4) Performance Baseline Report for the fiscal 

8 quarter covered by the submission or for the fiscal 

9 quarter ending the fiscal year prior to the submis10 sion. 

11 (5) Budget Reconciliation Report. 

12 (6) Risk Management Plan and Risk Register. 

13 (c) CONTRACTS.—Not later than five days after 

14 awarding a contract, order, or agreement, including any 

15 modifications thereto, under the Electronic Health Record 

16 Modernization Program, the Secretary shall submit to the 

17 appropriate congressional committees a copy of the entire 

18 such contract, order, agreement, or modification. 

19 (d) NOTIFICATION.— 

20 (1) REQUIREMENT.—Not later than 10 days 

21 after an event described in paragraph (2) occurs, the 

22 Secretary shall notify the appropriate congressional 

23 committees of such occurrence, including a descrip24 tion of the event and an explanation for why such 

25 event occurred. 


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1 (2) EVENT DESCRIBED.—An event described in 

2 this paragraph is any of the following events regard3 ing the Electronic Health Record Modernization 

4 Program: 

5 (A) The delay of any milestone or deliver6 able by 30 or more days. 

7 (B) A request for equitable adjustment, eq8 uitable adjustment, or change order exceeding 

9 $1,000,000 (as such terms are defined in the 

10 Federal Acquisition Regulation). 

11 (C) The submission of any protest, claim, 

12 or dispute, and the resolution of any protest, 

13 claim, or dispute (as such terms are defined in 

14 the Federal Acquisition Regulation). 

15 (D) A loss of clinical or other data. 

16 (E) A breach of patient privacy, including 

17 any— 

18 (i) disclosure of protected health in19 formation that is not permitted under reg20 ulations promulgated under section 264(c) 

21 of the Health Insurance Portability and 

22 Accountability Act of 1996 (Public Law 

23 104–191; 42 U.S.C. 1320d–2 note); and 


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1 (ii) breach of sensitive personal infor2 mation (as defined in section 5727 of title 

3 38, United States Code). 

4 (e) DEFINITIONS.—In this section: 

5 (1) The term ‘‘appropriate congressional com6 mittees’’ means— 

7 (A) the Committees on Veterans’ Affairs of 

8 the House of Representatives and the Senate; 

9 and 

10 (B) the Committees on Appropriations of 

11 the House of Representatives and the Senate. 

12 (2) The term ‘‘Electronic Health Record Mod13 ernization Program’’ means— 

14 (A) any activities by the Department of 

15 Veterans Affairs to procure or implement an 

16 electronic health or medical record system to re17 place any or all of the Veterans Information 

18 Systems and Technology Architecture, the Com19 puterized Patient Record System, the Joint 

20 Legacy Viewer, or the Enterprise Health Man21 agement Platform; and 

22 (B) any contracts or agreements entered 

23 into by the Secretary of Veterans Affairs to 

24 carry out, support, or analyze the activities 

25 under subparagraph (A). 


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Union Calendar No. 534 

115TH CONGRESS 

2D SESSION H. R. 4245 

[Report No. 115–691] 

A BILL 

To direct the Secretary of Veterans Affairs to subgram of the Department of Veterans Affairs. the Electronic Health Record Modernization Pro- mit to Congress certain documents relating to 

MAY 21, 2018 

Committed to the Committee of the Whole House on the 

State of the Union and ordered to be printed 


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